View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0990-0281
ICR Reference No:
202109-0990-009
Status:
Historical Active
Previous ICR Reference No:
201803-0990-002
Agency/Subagency:
HHS/HHSDM
Agency Tracking No:
Title:
Prevention Communication Formative Research
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
10/26/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/21/2021
Terms of Clearance:
Approved consistent with the understanding that individual memos explaining the exact methods for information collection will be submitted for each study under this clearance as Gen ICs and data collection will not begin until approval is received for the individual Gen IC.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2024
36 Months From Approved
10/31/2021
Responses
56,975
0
56,975
Time Burden (Hours)
9,975
0
19,950
Cost Burden (Dollars)
0
0
0
Abstract:
This generic clearance request describes data collection activities involving a limited set of focus groups, individual interviews, Web-based concept and prototype testing, and usability and effects testing to establish a deeper understanding of the interests and needs of consumers and health intermediaries for disease prevention and health promotion information and tools.
Authorizing Statute(s):
PL:
Pub.L. 94 - 317 201
Name of Law: National Consumer Health Information and Health Promotion Act of 1976
US Code:
44 USC 3502(2)
Name of Law: COORDINATION OF FEDERAL INFORMATION POLICY
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
86 FR 34025
06/28/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 52478
09/21/2021
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
Healthy People 2030 Champion Application
Healthy People 2030 Champion Application
Healthy People 2030 Champion Application
Mothers at Risk for Postpartum Depression
NYSS Champion Application
1
NYSS Champion Program Application
ODPHP Presidential Youth Fitness Program Focus Groups
ODPHP/PCSFN Speaker Request Form
1, ODPHP/PCSFN Speaking Request Form
ODPHP Speakers Bureau Application
,
ODPHP/PCSFN Speaking Request Form
Understanding Economic Risk for Low Income Families Survey
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
56,975
56,975
0
0
0
0
Annual Time Burden (Hours)
9,975
19,950
0
-9,975
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
ODPHP is proposing the following program changes: 1. Revise purpose and justification to reflect office initiatives and priorities for the next 3 years. 2. Increase estimated hourly rate of respondents due to cost of living increases. 3. Some data collection efforts are no longer needed. Previous submission was approved for 19950 hours, however those data collection efforts have ended therefore decreasing the total required burden hours by 9975 hours, resulting in a final total burden time of 9975.
Annual Cost to Federal Government:
$215,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Jennifer Bishop 240 453-8826 jennifer.bishop@hhs.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/21/2021
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